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Contact Information

MITCHEL L BERNSTROM, MD
2055 KIMBALL AVE STE 400
WATERLOO, IA50702
 Phone: 319-272-0000
 Fax: 319-272-1329
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MITCHEL L BERNSTROM · (Male)

NPI # 1265489967
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2006
Last updated 06/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 25101
  • IA Medicaid 2029272
Hospital affiliation(s)
  • ALLEN MEMORIAL HOSPITAL - (Acute Care)
    1825 LOGAN AVENUE
    WATERLOO, IA 50703
  • COVENANT MEDICAL CENTER - (Acute Care)
    3421 WEST NINTH STREET
    WATERLOO, IA 50702
  • SARTORI MEMORIAL HOSPITAL - (Acute Care)
    515 COLLEGE STREET
    CEDAR FALLS, IA 50613
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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